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KMAP BULLETIN: Clarification of Allergy Immunotherapy Billing

Date: 01/03/24

KMAP GENERAL BULLETIN 23342 (PDF)

Effective with dates of service on and after February 1, 2024, Allergy Immunotherapy Injection, Antigen, and Supervision of Preparation codes are only allowed to be billed by Professional Providers. These codes are not allowed to be billed by hospitals.

Allergy Immunotherapy Injection codes:

  • 95115
  • 95117

Antigen codes:

  • 95144
  • 95145
  • 95146
  • 95147
  • 95148
  • 95149

Supervision of Preparation codes:

  • 95165
  • 95170

Note: The effective date of the policy is February 1, 2024. The implementation of State policy by the KanCare Managed Care Organizations (MCOs) may vary from the date noted in the Kansas Medical Assistance Program (KMAP) bulletins. The KanCare Open Claims Resolution Log on the KMAP Bulletins page documents the MCO system status for policy implementation and any associated reprocessing completion dates, once the policy is implemented.

For the changes resulting from this provider bulletin, view the updated Professional Fee-for-Service Provider Manual, Section 7010, page 7-2.